Housing Complaint Please Note: The HRC can only investigate complaints in Lexington, Fayette County, Kentucky Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email Person you are filing against First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Company the individual appeared to be acting on behalf of * Company Address Address 1 Address 2 City State/Province Zip/Postal Code Country Company Phone (###) ### #### When did the discriminatory act occur? * MM DD YYYY You feel you were discriminated against based on your: * Race Color Sex National Origin Disability - mental Disability - physical Familial Status (Children under 18 or pregnant female) Religion Sexual Orientation or Gender Identity Retaliation Protective Hairstyle (CROWN Act) What action was taken against you that you feel was discriminatory? * i.e. failure to rent, eviction, etc. How did you find out about the Human Rights Commission? * Internet/Commission website Social Media Radio Television From a friend/family member Referral from another agency From a lawyer Billboard/bus advertisement Thank you!